Multiple giant aneurysm in coronary arteries

Coronary artery aneurysms are abnormal dilatation of the coronary arteries. The etiology is still not fully understood. They are usually asymptomatic and diagnosed incidentally. Arrhythmias, unstable angina, myocardial infarction or sudden cardiac death may occur in symptomatic patients. Invasive and noninvasive vascular imaging techniques are used in diagnosis. Conventional coronary angiography, an invasive imaging method, is considered as the gold standard. Coronary computed tomography angiography is a noninvasive method that enables accurate assessment of aneurysm size and location. Treatment options include surgical approach, percutaneous coronary intervention and medical treatment. However, due to limited literature information, it is still unclear for clinicians how to approach patients with coronary artery aneurysm. In this article, we aimed to present a case of multiple giant coronary artery aneurysms detected in two coronary arteries, together with Coronary computed tomography angiography findings.